Individual provider Active NPI

Todd Patrick Boren, M.D.

  • Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1730142340
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME90652 Issued in FL
Practice address
102 Central Ave
Chattanooga, TN 37403-1503
Phone
(727) 385-4644
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME90652 FL Primary

Addresses

Primary practice location

102 Central Ave
Chattanooga, TN 37403-1503

Mailing address

26 Mountain Orchard Path
Signal Mountain, TN 37377-2663
Phone (727) 385-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121010000143 TN Practitioner - Gynecological Oncology 3375619083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

102 Central Ave
Chattanooga, TN 37403-1503
Phone (423) 266-3636

975 E 3Rd St
Chattanooga, TN 37403-2147

Hospital & facility affiliations

  • North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME90652FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 26, 2015 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 26, 2015 Accepting new patients
Erlanger Health Past Accepting new patients

Locations

102 Central Ave
Chattanooga, TN 37403
Phone (423) 266-3636

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: todd.boren.1@633.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1730142340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MOUNTAIN ORCHARD PATH",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772663",
            "telephone_number": "727-385-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CENTRAL AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031503",
            "telephone_number": "727-385-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "TODD",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME90652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.